Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $111.25 / $139.47	Professional		$111.25	$111.25	$139.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $187.61 / $225.14	Professional		$143.63	$187.61	$225.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $195.15 / $223.61	Professional		$167.51	$195.15	$223.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $159.90 / $187.61	Professional		$117.26	$159.90	$187.61
United Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $187.61 / $230.57	Professional		$142.18	$187.61	$230.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $129.88 / $195.60	Professional		$29.27	$129.88	$195.60